MRS. CRYSTAL BELLE PHIPPS BLOOMFELDT (NPI# 1669033098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669033098 |
Entity Type | Individual |
Full Name | MRS. CRYSTAL BELLE PHIPPS BLOOMFELDT |
Practice Address |
214 Autumn Hills Rd Kelso WA 98626-9018 |
Practice Telephone | 3603557658 |
Mailing Telephone | 3603557658 |
Enumeration Date | 2019-06-26 |
Last Update Date | 2019-06-26 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
Street Address |
214 AUTUMN HILLS RD |
City | KELSO |
State | WA |
Zip Code | 98626-9018 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730581877 | Wrothell Funchess | Counselor | 1645 Bowmont Ave, Kelso, WA 98626 | 2014-09-19 |
1427457688 | Julie Dalen | Counselor | 309 Oak Street, Kelso, WA 98626 | 2014-08-13 |
1033468822 | Rene Kerry Bohannon-oxford | Counselor | 2707 Pacific Ave North, Kelso, WA 98626 | 2012-09-07 |
1447535737 | Nichole Kathleen Allee | Massage Therapist | 109 Nw 1st St., Kelso, WA 98626 | 2011-10-18 |
1689991655 | Zachariah Kramer | Radiology | 700 Lincoln Street Suite 100, Longview Radiologists, Kelso, WA 98626 | 2010-04-29 |
1508007071 | Robert Lee Blair | Registered Nurse | 119 Blackburn Lane, Kalama, WA 98626 | 2009-03-13 |
1942318829 | Imholte & Anderson Pllc | Dentist | 409 West Main Street, Kelso, WA 98626 | 2006-08-29 |
1922088723 | James Bevan Hollingsworth | Pharmacist | 204 S Pacific Ave, Kelso, WA 98626 | 2006-01-18 |
1972021087 | Adreia Jenice Jessop | Registered Nurse | 300 Oak St, Kelso, WA 98626 | 2017-09-08 |
1023567310 | Charlene Han | Pharmacist | 205 Three Rivers Dr, Kelso, WA 98626 | 2016-09-27 |
Find all providers in zip 98626 |
Taxonomy Code | 1710I1002X |
Grouping | Other Service Providers |
Classification | Military Health Care Provider |
Specialization | Independent Duty Corpsman |
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669022810 | Shannon Dawkins | Military Health Care Provider | 2150 Thresher Ave, Silverdale, WA 98315-2103 | 2019-09-18 |
1649830779 | Monica Yineman | Military Health Care Provider | 9812 Enchantment Ave Nw, Silverdale, WA 98383-8822 | 2019-06-20 |
1164992491 | Michael Thomas Stevens | Military Health Care Provider | 100 Hospital Loop, Fairchild Afb, WA 99011 | 2018-11-29 |
1326521097 | Elizabeth Nicole Sifuentes | Military Health Care Provider | Uss Michigan- Commander Sub Group Nine, 2150 Thresher Ave, Silverdale, WA 98315-2150 | 2018-09-10 |
1740710557 | Randle Scott Groves | Military Health Care Provider | Psns&imf Det Everett, 2000 West Marine Drive, Bldg 2202, Everett, WA 98207 | 2017-06-14 |
1235599234 | Corey Thacker | Military Health Care Provider | 1912 Nw Circle Dr N, Poulsbo, WA 98370-9527 | 2016-03-03 |
1679965222 | Asher Abbott White Jr. | Military Health Care Provider | 8806 86th Ave Nw, Gig Harbor, WA 98332-6752 | 2015-02-19 |
1023414927 | Larry Jones | Military Health Care Provider | 386 Nw Dory Dr, Oak Harbor, WA 98277-2077 | 2014-11-05 |
1598027237 | Epafara Jeffrey Vaitautolu | Military Health Care Provider | 30 Wencker Way Apt A, Bremerton, WA 98312-1861 | 2012-06-08 |
1841595352 | Brandon Alexander Martinfrazier | Military Health Care Provider | 610 Dowell St., Bldg. 6, Keyport, WA 98345 | 2011-01-13 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on MRS. CRYSTAL BELLE PHIPPS BLOOMFELDT.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.